| NPI | 1346489168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 19593) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3276) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2021-11-30 |